NPI | 1093940504 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN R SHARP Owner 970-879-2327 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 16026) |
Enumeration Date | 2009-05-28 |
Last Update Date | 2010-12-10 |