| NPI | 1104993799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY SANSOM Business Office Manager 970-494-4827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 1271) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2013-11-07 |