| NPI | 1831363258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH EDWARD PETRI Owner 303-871-9585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 15874) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |