| NPI | 1447703558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAKI IBRAHIM Owner/Physician 720-974-2506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA-0001715) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |