| NPI | 1326420068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OYEN SHAWN HOFFMAN Owner 970-646-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CO MFT.0001189) |
| Additional Taxonomies | 251S00000X (Licence: CO ACD.0000336) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |