| NPI | 1578384996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE RENEE DOVE Owner 720-737-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QU0200X Clinic/Center, Urgent Care | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2025-06-17 |