| NPI | 1982159166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE O. SUTHERLAND Physician/Owner 303-934-4862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 22563) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |