NPI | 1457678773 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY MICHAEL BRESNAHAN Authorized Official 720-261-5141 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 43658) |
Enumeration Date | 2010-04-26 |
Last Update Date | 2021-03-06 |