| NPI | 1912021015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE J. BONN Administrator 303-706-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2019-04-18 |