| NPI | 1992223184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D SCALA President 720-463-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 48613) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2018-03-26 |