| NPI | 1720052012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS TROUILLOT Medical Director 303-344-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 16H513) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 0121) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2014-07-18 |