| NPI | 1457822975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE DAVIS Owner 720-363-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |