| NPI | 1417537572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME WOODRUFF Practice Manager 720-878-7055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |