| NPI | 1114778412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN KNOWLES Compliance Office 970-544-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |