| NPI | 1508229584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY L RICHARDSON Member 303-466-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO APN-0991919-NP) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |