| NPI | 1700838190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN NICKS CFO 720-524-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: TX 008040) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2019-10-29 |