| NPI | 1174125785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA CONROY Director Of Credentialing 970-493-6337 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2024-06-11 |