| NPI | 1114121282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN L PETERSON Owner 970-254-1686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: CO 35550) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2008-01-08 |