| NPI | 1841483120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN WILLOUGHBY Owner 303-320-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: CO DR.0040115) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO 40115) |
| 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck (Licence: CO 40115) | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2016-05-16 |