| NPI | 1699168807 |
|---|---|
| Other Name | ICD - FAMILY MEDICINE PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | KATHLENE R. SMITH Clinical Operations Imp. Data Mngr 303-788-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |