NPI | 1639529738 |
---|---|
Doing Business As | REDWOOD MEDICAL, LLC |
Entity Type | Organization |
Authorized Contact | BRENT HERRON Owner 720-485-3178 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
207Q00000X Family Medicine | |
261QM0850X Clinic/Center, Adult Mental Health | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2016-06-20 |
Last Update Date | 2025-09-24 |