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 | 1041C0700X Social Worker Clinical |
213E00000X Podiatrist | |
363A00000X Physician Assistant | |
363LG0600X Nurse Practitioner Gerontology | |
Enumeration Date | 2006-06-11 |
Last Update Date | 2010-08-19 |