NPI | 1427224948 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN MARCUS LARABEE Primary Provider 720-941-1778 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO 42585) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO 42491) |
Enumeration Date | 2008-05-05 |
Last Update Date | 2012-05-03 |