| NPI | 1689081994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN BACHAYEV Owner 720-454-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |