| NPI | 1033314224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCILE M PETERSON Office Manager 970-842-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 27929) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2008-07-11 |