| NPI | 1467783696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN C GINN Partner 970-351-2412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 32068) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 5112) |
| 363A00000X Physician Assistant (Licence: CO 2468) | |
| 363L00000X Nurse Practitioner (Licence: CO 184924) | |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-01-28 |