| NPI | 1467183129 |
|---|---|
| Doing Business As | EVERGREEN FAMILY MEDIAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DENISE STUART Practice Administrator 303-647-5280 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-06-22 |