| NPI | 1609341841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN CHAD EDMONSON Surgical First Assistant 303-870-4937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |