| NPI | 1639323496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIACOMO GAMIBINI Owner 303-364-9831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CO 8424) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2009-03-30 |