| NPI | 1851083042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA JO SKINNER Administrator, Oma 720-667-7283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-05-24 |