| NPI | 1134368392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC ANTHONY VETRI Managing Partner 970-799-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA1741) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-24 |