| NPI | 1952616484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE C VANDEWEGE Office Manager 303-832-9277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CO 25950) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2010-08-09 |