| NPI | 1114117876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET PRINGLE Accounting/Credentialing 970-613-4733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 44140) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |