| NPI | 1952598005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE A NANNIE Office Manager 303-671-6110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO 33621RTSL) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2008-01-16 |