| NPI | 1215250873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY S WADE Owner 970-856-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: CO 32008) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 32008) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |