| NPI | 1487074795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD ALLEN MCLEAN Doctor 303-791-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CO 36684) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |