| NPI | 1023714094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ROGERS President 970-632-0135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2024-01-10 |