| NPI | 1679836159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNDI EDDINGTON Business Services Director 303-825-8572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |