| NPI | 1992876148 |
|---|---|
| Other Name | PATRICIA VICKLAND |
| Entity Type | Organization |
| Authorized Contact | KIM RIVERA Office Manager 303-776-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CO 2550) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2008-02-19 |