| NPI | 1720780083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA JO SKINNER Director, Office Of Medical Affairs 720-667-7283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology |
| 208200000X Plastic Surgery | |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2025-02-14 |