| 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 |