| NPI | 1205878659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI ANN CLUKEY President/Physician 970-254-9873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 44181) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |