| NPI | 1942648480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN WILY SCOTT Co Owner / Physician 303-481-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-10-28 |