NPI | 1497942122 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN SCHULTZ Owner 720-494-4790 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CO 3622) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2007-10-04 |