| NPI | 1760014344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONY N VANBANG Owner/Medical Director 720-666-5116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |