| NPI | 1619211562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN DERUBERTIS Chief Operating Officer 303-996-3364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2013-03-25 |