| NPI | 1366765646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY S WADE Owner 970-249-2118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-03 |