| NPI | 1831575547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA I TALAVERA Owner 303-233-2361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CO 7286) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2016-04-11 |