| NPI | 1831686674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIE CAMPAGNOLA Chief Administrative Officer 720-519-1418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-08-03 |