NPI | 1184870669 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNE I HUNTINGTON President 970-349-7193 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 45619) |
Enumeration Date | 2008-08-15 |
Last Update Date | 2008-12-10 |