| NPI | 1407248644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY E ANDERSEN Chief Operating Officer 970-247-8382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |