NPI | 1689748758 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRY K POPHAM President 303-468-8844 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 0769) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2008-06-20 |