| NPI | 1912148719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SCOTT HATCH Owner 303-408-0843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 5607) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-05-01 |