| NPI | 1417908104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA RUTH POLLO Office Manager 303-449-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CO 23152) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2008-01-10 |