| NPI | 1538323548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN VAN WU Medical Director 303-237-6162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CO 37847) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |