| NPI | 1609607472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CLIFFORD Co Owner 303-668-6784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |