| NPI | 1740157866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANEEN M OMAR CEO 303-999-7763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-22 |