NPI | 1114114097 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA L STROZZI Owner/Operator 970-663-2223 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CO AL0389) |
Enumeration Date | 2007-09-25 |
Last Update Date | 2007-09-25 |