| NPI | 1083801815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALD MARTIN YOUNG Owner 970-856-6519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 75028) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2008-10-09 |