| NPI | 1285703652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA PASTORE Owner 970-484-9533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 105668) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2010-01-22 |