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 |