| NPI | 1255944419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA CONROY Director Of Credentialing 970-652-2235 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 208000000X Pediatrics |
| 225100000X Physical Therapist | |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2024-07-12 |