| 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 |