NPI | 1649305343 |
---|---|
Entity Type | Organization |
Authorized Contact | BOBBY LEE FOX Csa 720-748-2888 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO 92-102) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2013-05-23 |