| NPI | 1295435881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MITCHELL Manager 970-214-8175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology Pediatric Ophthalmology and Strabismus Specialist |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-03-03 |