| NPI | 1972190320 |
|---|---|
| Other Name | AT SKY RIDGE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEBORAH SMITH VP/General Counsel 303-436-2720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2020-12-30 |