{
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"FirstLineMailingAddress": "1550 S POTOMAC ST STE 133",
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"MailingAddressFaxNumber": "303-755-0796",
"FirstLinePracticeLocationAddress": "1550 S POTOMAC ST STE 133",
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"PracticeLocationAddressTelephoneNumber": "303-755-0810",
"PracticeLocationAddressFaxNumber": "303-755-0796",
"EnumerationDate": "11/09/2009",
"LastUpdateDate": "11/09/2009",
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"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
"Taxonomy": {
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"LicenseNumber": "10930",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}