| NPI | 1417562943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE MOONEY Credentialing Coordinator 303-456-5495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |