| NPI | 1447645072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH COLEMAN ROBINSON Owner 303-792-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 16K184) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |