| NPI | 1487735098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY GUNNAR NELSON Physician 303-673-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: CO 23781) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-06-23 |