NPI | 1922160357 |
---|---|
Entity Type | Organization |
Authorized Contact | LANCE GOUDZWAARD CEO 303-205-1090 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 0930) |
Enumeration Date | 2006-12-14 |
Last Update Date | 2013-08-30 |