NPI | 1720457435 |
---|---|
Entity Type | Organization |
Authorized Contact | PHIL REED Chief Financial Officer 720-744-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: CO PHA.0020298) |
Enumeration Date | 2015-09-23 |
Last Update Date | 2017-04-20 |