| NPI | 1447455316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS JAY TERRY Managing Member 303-440-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CO 1561) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |