| NPI | 1477039907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WELLS GLOWNEY President 720-550-6175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine Sports Medicine (Licence: CO 47816) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2020-05-28 |