| NPI | 1689594111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNY DAVID RODRIGUEZ Medical Director 720-998-1069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| 207YX0602X Otolaryngology, Otolaryngic Allergy | |
| Enumeration Date | 2026-07-16 |
| Last Update Date | 2026-07-16 |