| NPI | 1861926230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAHLIA S. CASABAR-FERRER Owner 303-369-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CO 38896) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-09-25 |