| NPI | 1215054259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L MCMULLEN Administrator 970-484-0798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2010-02-11 |