NPI | 1518627603 |
---|---|
Entity Type | Organization |
Authorized Contact | JANA CONROY Director Of Credentialing 720-718-3930 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
208600000X Surgery | |
Enumeration Date | 2021-12-30 |
Last Update Date | 2024-08-01 |