| NPI | 1649654245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL J BONNETT Medical Director 303-945-6054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-20 |