| NPI | 1558971986 |
|---|---|
| Doing Business As | BROADWATER CLINIC - WALK - IN |
| Entity Type | Organization |
| Authorized Contact | JON MCDANIEL VP Finance Medical Group 303-272-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2024-01-03 |