| NPI | 1508379033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA M FERNANDEZ Owner 720-427-7493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2023-05-07 |