| NPI | 1154451367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM SCHEUER President 970-920-0104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2009-05-26 |