| NPI | 1528576378 |
|---|---|
| Doing Business As | PRAETORIAN MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | KENNETH DEWAYNE LANIER Officer 303-524-5972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-01-15 |