| NPI | 1215110358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DIANE CHAMBERLAND Owner 970-641-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CO 33603) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2009-01-19 |