| NPI | 1982142725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA JOHNSON Medical Director 303-841-9565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO DR.0049380) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |