| NPI | 1144818857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALLEN BEGERSON CEO 970-419-7007 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-01-07 |