| NPI | 1528190055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA SUE MCDONALD Manager 303-942-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2020-08-22 |