| NPI | 1205158789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN WALTER ZERRER Owner 970-946-9361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CO 2081) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-12-17 |