| NPI | 1447318225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY JACK Owner Physician 303-440-8243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2026-04-07 |