| NPI | 1487359485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLIE WAKASUGI Credentialing Specialist 303-261-1600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-03-31 |