| NPI | 1548441611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS GUSTAVO RODRIGUEZ Share Holder/ Doctor 303-875-8198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 36368) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |