| NPI | 1376079962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY FABIAN Owner/Physician 970-819-0697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WY 10140A) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |