| NPI | 1801175765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD SPALLONE Clinic Director 303-980-5699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CO 17008) |
| 111N00000X Chiropractor | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2013-04-17 |