NPI | 1881105005 |
---|---|
Entity Type | Organization |
Authorized Contact | MARLEY PAGE Director 303-601-5392 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
Enumeration Date | 2017-10-15 |
Last Update Date | 2025-06-25 |