| NPI | 1881309177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JACKSON Clinic Director 303-237-9617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-01-20 |