| NPI | 1962691519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRENT PENLAND Physician 303-790-4556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CO 34221) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-12-19 |