| NPI | 1609241264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HUNTZINGER Practice Manager 720-500-5488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2024-04-04 |