| NPI | 1518184399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCE MOCK CEO 303-744-1961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2011-06-27 |