| NPI | 1649336967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE GILMORE Executive Director 303-919-4503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 788) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |