| NPI | 1154045078 |
|---|---|
| Doing Business As | GRAND VALLEY INFECTIOUS DISEASE |
| Entity Type | Organization |
| Authorized Contact | CHRISTAN THOMAS President/CEO 970-644-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-11-29 |