| NPI | 1427155845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SIMMONS Physician 970-266-3650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-07-29 |