NPI | 1740306166 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM J. PONTARELLI JR. President 303-936-5998 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CO 267) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2020-08-22 |