| NPI | 1992344659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHRIKANTHA PRABHU Chief Executive Officer 303-482-6824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-12-29 |
| Last Update Date | 2020-02-04 |