NPI | 1992925416 |
---|---|
Doing Business As | PSL HIGH STREET PRIMARY CARE CENTER |
Entity Type | Organization |
Authorized Contact | LORETTA BELEARDE Manager 303-869-1830 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
Enumeration Date | 2007-04-26 |
Last Update Date | 2007-10-30 |