NPI | 1144405739 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG ALLEN SEVERANCE Office Manager 970-257-7116 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 34092) |
Enumeration Date | 2008-01-02 |
Last Update Date | 2010-06-25 |