NPI | 1588758650 |
---|---|
Entity Type | Organization |
Authorized Contact | FLORY M KREUTTER Owner/ Medical Director 303-333-3388 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CO 30595) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2013-09-24 |