| NPI | 1952819450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK TALMAGE General Partner 303-877-7239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: CO DR0027631) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2020-03-10 |