| NPI | 1205467842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS HANSEN CEO 970-560-3659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| 246Y00000X Spec/Tech, Health Info | |
| 246YC3302X Spec/Tech, Health Info, Coding Specialist, Physician Office Based | |
| 246Z00000X Specialist/Technologist, Other | |
| 247000000X Technician, Health Information | |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2023-08-11 |