| NPI | 1447308465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD NICHOL General Surgeon 970-945-6533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO 80.05611.1) |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2018-02-21 |