| NPI | 1316976442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE ED BRUNSON Owner/Provider 970-298-1832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-12-15 |