| NPI | 1992121784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA R TOLMAN Owner 303-627-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CO 103681) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |