NPI | 1942972526 |
---|---|
Doing Business As | CONGRESS PARK CLINIC - PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | JON MCDANIEL VP Fiance Medical Group 303-272-0231 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2021-10-01 |
Last Update Date | 2024-06-28 |