| NPI | 1033905856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA CONROY Director Of Credentialing 970-203-7080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |