| NPI | 1437145794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BERGERSON CEO 970-419-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| 261QP3300X Clinic/Center, Pain (Licence: CO 160343) | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 160343) | |
| 261QE0800X Clinic/Center, Endoscopy (Licence: CO 160343) | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2019-12-16 |