NPI | 1083717219 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTHA CECILE FRALEY Physician Administrator/ CEO 970-375-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO 33703) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2023-06-29 |