| NPI | 1861797243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE A LUCERO Physician Liaison Manager 303-287-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 63736) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CO 2352) |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2011-01-17 |