| NPI | 1568715183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY DIETZ Administrator 303-442-2913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 48271) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |