NPI | 1346537628 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE TONOZZI Administration 970-248-5880 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2011-07-07 |
Last Update Date | 2023-10-26 |