| NPI | 1427569243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DANIEL JENSEN Authorized Official 720-686-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-11-22 |