NPI | 1740653955 |
---|---|
Entity Type | Organization |
Authorized Contact | GAVIN WAYNE SIGLE Director 303-794-6747 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CO DR-55846) |
Enumeration Date | 2015-11-10 |
Last Update Date | 2015-11-10 |