| NPI | 1679963912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT PORTNOY Business Development 303-908-9375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |