NPI | 1477565380 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN I ROACH Officer 303-772-5578 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
Enumeration Date | 2006-08-12 |
Last Update Date | 2008-02-08 |