| NPI | 1770624298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES O BRANTIGAN Owner 303-830-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CO 16213) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |