| NPI | 1710348818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE GENEVIEVE POTURALSKI Owner 303-471-2466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0033806) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |