| NPI | 1447846977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MARIE ORTEGA Executive Assistant 303-744-1961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2020-12-18 |