NPI | 1235404062 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY D DENZEL Medical Director 970-351-2412 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 32068) |
Enumeration Date | 2012-03-13 |
Last Update Date | 2012-03-13 |