| NPI | 1043356892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY HARPER Office Administrator 970-867-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 34790) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 34790) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-04-02 |