NPI | 1972564292 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK TRUJILLO Owner 303-890-2015 |
Organization Subpart ? | No |
Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: CO CERTIFICATION F01493) |
Enumeration Date | 2006-03-28 |
Last Update Date | 2020-08-22 |