| NPI | 1972949121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI L CASWELL Registered Nurse 303-961-7641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 0205164) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |