| NPI | 1043663594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HANOSH CEO 970-243-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery |
| 208800000X Urology | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |