| NPI | 1659148468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONSERRATH VERA-BRAVO Billing And Credentialing Supervis 720-818-7810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NW0100X General Acute Care Hospital Women |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology |
| 261QA1903X Clinic/Center Ambulatory Surgical | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2025-09-02 |