| NPI | 1275675860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LEWIS Owner 970-254-1686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2023-06-21 |