| NPI | 1801125927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ANN SMITH Physician Assistant 303-596-7122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: CO 1354) |
| Enumeration Date | 2009-12-19 |
| Last Update Date | 2012-11-20 |