NPI | 1053581835 |
---|---|
Entity Type | Organization |
Authorized Contact | LEANNE MICHELLE BRIGHI Office Manager 970-330-5336 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CO 5517) |
Enumeration Date | 2008-03-07 |
Last Update Date | 2008-04-04 |