| NPI | 1114698453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN BEAVER PFS Anaylst 970-252-2691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2024-06-07 |