| NPI | 1447394309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ANDREW WAGGONER President 303-934-6970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: CO SA.0001218) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2016-09-22 |