NPI | 1508009564 |
---|---|
Entity Type | Organization |
Authorized Contact | STACY DUCHANE Administrator 720-475-8412 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CO 16E991) |
Enumeration Date | 2009-04-07 |
Last Update Date | 2017-04-27 |