| NPI | 1508473513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PATRICIA ANDERSON Practice Manager 720-810-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |