| NPI | 1750754180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH BEAN President 303-709-2216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: CA A078993) |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |