| NPI | 1801559265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ALLEN JOHNSON AO 303-589-4149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2023-08-21 |