| NPI | 1811507072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA J. SKINNER Administrator Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2021-05-21 |