| 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 |