| NPI | 1225678691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR DUARTE Nurse Practitioner / Owner 970-217-4896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |