| NPI | 1659313062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R WASSERMAN Owner/Physician 303-306-4315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| 1041C0700X Social Worker, Clinical | |
| 213E00000X Podiatrist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2010-08-19 |