NPI | 1730359134 |
---|---|
Doing Business As | CREEKSIDE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | DAVID P HESSELINK VP Finance Pe 303-804-8136 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2008-03-03 |
Last Update Date | 2012-05-09 |