| NPI | 1285614941 |
|---|---|
| Doing Business As | SOUTHWEST MEMORIAL MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANTHONY SUDDUTH CEO 970-564-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2018-06-06 |