| NPI | 1770183766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA TAFOYA Finance Administrator 303-450-3690 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 208000000X Pediatrics |
| 2080A0000X Pediatrics Adolescent Medicine | |
| 2080P0006X Pediatrics Developmental - Behavioral Pediatrics | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |