| NPI | 1417569922 |
|---|---|
| Doing Business As | SSIM S SUBURBAN INT MD |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-12-18 |