| NPI | 1780803700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEDDI JOLENE LOUISE HUTSON Medical Assistant 303-935-7870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 30405) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 39143) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-05-06 |