| NPI | 1528303500 |
|---|---|
| Doing Business As | LIFE MEDICINE INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | BRENT J JASTER President 720-971-6588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 41530) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2020-04-14 |