| NPI | 1760832398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS COPE Owner 303-828-0883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CO 00202852) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |