| NPI | 1689649451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER J MCNALLY Administrator 303-799-6465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 0279) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-08-22 |