| NPI | 1104823939 |
|---|---|
| Doing Business As | CORTEZ PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | ANTHONY SUDDUTH CEO 970-564-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CO 19961032821) |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: CO 11206) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2018-06-08 |