| NPI | 1053956615 |
|---|---|
| Doing Business As | GLENWOOD ORTHOPAEDIC CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES CREVLING CFO 970-384-6606 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |