| NPI | 1326643636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA A SMITH Practice Administrator 970-879-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-03 |