NPI | 1003319492 |
---|---|
Doing Business As | WESTERN ORTHOPEDICS AND SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | MEGAN HASKINS Credentialing Officer 970-263-2619 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Enumeration Date | 2018-03-13 |
Last Update Date | 2020-04-24 |