| NPI | 1457536187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN MORGAN THIEMAN Office Manager Corporate Secretary 970-484-7245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 19190) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |