| NPI | 1811527690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANHTUAN PHAM CEO 720-308-0195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207R00000X Internal Medicine | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |