| NPI | 1205067089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE DEVITA-BAILEY F Amily Physician 970-417-9171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 44663) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2015-09-24 |