| NPI | 1386924769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL CAMERON Office Manager 970-242-7060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO NP990086) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |