NPI | 1962270371 |
---|---|
Doing Business As | EAST CROSSROADS CLINIC - PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | JON MCDANIEL VP Finance Medical Group 303-272-0231 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
207VX0000X Obstetrics & Gynecology, Obstetrics | |
Enumeration Date | 2023-12-14 |
Last Update Date | 2024-06-28 |