| NPI | 1548542764 |
|---|---|
| Doing Business As | PENROSE OP CLINIC AT CRIPPLE CREEK |
| Entity Type | Organization |
| Authorized Contact | ANGELA SKINNER Oma Administrator 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146M00000X Emergency Medical Technician, Intermediate (Licence: CO C509238) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2016-05-17 |