| NPI | 1497735559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN EDWARD JENSEN Principal 303-532-2986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 16N612) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2013-01-23 |