| NPI | 1508287442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PELL FENDER President 720-491-0622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CO 51038) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |