| NPI | 1063524288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN EWING LEWIS Owner Practioner 970-385-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 42313C0) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-12-12 |