NPI | 1861486219 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN LYNA LARSON Owner Physician 303-232-5354 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 38104) |
Enumeration Date | 2005-08-31 |
Last Update Date | 2011-10-20 |