| NPI | 1568731941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONA DIMIDJIAN Clinic Director 303-492-3485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CO 3309) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |