| NPI | 1447462510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE R CHACON-JARAMILLO Credentialing Specialist 720-439-2456 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0018128) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 18128) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0018128) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-01-28 |