| NPI | 1629294921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA MARIE FEDOR Surgical Assistant 720-626-6807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: CO SA.0001013) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2016-02-09 |