| NPI | 1043602246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RAY Owner 970-818-2791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CO 53745) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-09-16 |