| NPI | 1457779886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL SNOOK CEO/Medical Director 303-708-0246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 1285) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |