| NPI | 1699551127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARNER HETTICK Managing Employee 303-589-1589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2086S0129X Surgery, Vascular Surgery | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2025-01-28 |