| NPI | 1487390019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY KUPER Medical Provider For Clear Creek 303-670-5689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-05-06 |