| NPI | 1841625902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA NICHOLE WILSON Executive Director 303-286-0918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 47329) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |