NPI | 1720503139 |
---|---|
Entity Type | Organization |
Authorized Contact | LETO QUARLES Physician CEO 303-557-2250 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO DR-45461) |
Enumeration Date | 2017-08-07 |
Last Update Date | 2017-08-07 |