| NPI | 1629245212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANN DOUGLAS Owner/Physician 303-988-1825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CO 15671410000) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-06-23 |