NPI | 1790876159 |
---|---|
Former Legal Business Name | COLORADO RETINA ASSOCIATES, PC |
Entity Type | Organization |
Authorized Contact | KYLIE ESPINOZA Credentialing Specialist 303-261-1600 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist |
207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease | |
Enumeration Date | 2006-09-28 |
Last Update Date | 2024-10-02 |