| NPI | 1649948449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL FOSTER Medical Director 303-818-8137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2021-09-06 |
| Last Update Date | 2021-09-06 |