| NPI | 1427584069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED ODELL STEWART Owner 970-986-7887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: CO 171979) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2020-10-20 |