| NPI | 1578135968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE LUCERO Credentialing Coordinator 303-287-2800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-14 |