| NPI | 1477271997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE LAVOIE Practice Manager 303-209-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-08-24 |