NPI | 1962391631 |
---|---|
Entity Type | Organization |
Authorized Contact | ADESOJI OLUFIKAYO AJALA Chief Medical Officer 720-400-2706 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2025-06-30 |
Last Update Date | 2025-06-30 |