| NPI | 1205972858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKEY ROUSH Office Manager 970-252-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO EIN) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2022-07-21 |