| NPI | 1245926039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES KOPEL Owner 970-391-4303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 225100000X Physical Therapist | |
| 235500000X Specialist/Technologist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-04-25 |