NPI | 1891092664 |
---|---|
Doing Business As | NORTH RIDGE MEDICAL PRACTICE |
Entity Type | Organization |
Authorized Contact | DAVID P HESSELINK VP Finance Pe 303-804-8136 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2011-02-14 |
Last Update Date | 2012-05-09 |