| NPI | 1316603962 |
|---|---|
| Doing Business As | GSLO GENERAL SURG LUH |
| Other Name | CMG GENERAL SURGERY LONGMONT |
| Entity Type | Organization |
| Authorized Contact | ANGELA JO SKINNER Administrator, Oma 720-667-7283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2024-06-25 |