| NPI | 1376682740 |
|---|---|
| Doing Business As | BRECKENRIDGE MEDICAL CLINIC, LLC |
| Entity Type | Organization |
| Authorized Contact | PAUL CHODOWSKI President/CEO 970-668-2852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2009-10-20 |