| NPI | 1699895755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE H. STATHOS Authorized Official, President 303-790-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2019-03-28 |