| NPI | 1689001695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L GALLEGOS President 303-525-1698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2013-10-04 |