NPI | 1356493787 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN SEAGREN Medical Director 970-242-6600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 0551) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2013-12-31 |