| NPI | 1962150243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY R. WORTHAM Senior Credentialing COO Rdinator 303-930-7803 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-15 |