NPI | 1417476235 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW V SOLANO Owner 303-456-4882 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO3083) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2017-09-13 |
Last Update Date | 2018-02-12 |