| NPI | 1669904520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON PARDEW CEO 303-885-5762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0006X Clinic/Center, Ambulatory Fertility Facility |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2021-06-08 |