| NPI | 1609450303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DIETRICH President 303-374-4988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2021-05-09 |
| Last Update Date | 2021-05-09 |