| NPI | 1184483927 |
|---|---|
| Doing Business As | ROARING FORK SURGICAL |
| Entity Type | Organization |
| Authorized Contact | CHARLES CREVLING Chief Financial Officer 970-384-6606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-14 |