| NPI | 1881864072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD C. DEXTRADEUR Owner/Physician 720-289-8184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CO 35500) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2020-10-09 |