| NPI | 1386257475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CATALANO Director Of Finance 970-828-4104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist |
| 207WX0120X Ophthalmology Cornea and External Diseases Specialist | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2021-10-27 |