| NPI | 1851735260 |
|---|---|
| Doing Business As | PRTV PC TIMBERVIEW |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2021-06-01 |