| NPI | 1639610397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA JOHNSON Owner 303-741-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2021-04-15 |