| NPI | 1760641070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN IACOFANO Owner/Physician 303-665-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 31267) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2020-01-22 |