| 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 |