| NPI | 1720214620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN DOUGLAS FARBER Owner 720-887-4955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 115260) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO 115260) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-30 |