| NPI | 1972169100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAROLYN KABIR Member 303-594-6165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-06-07 |