| NPI | 1477006096 |
|---|---|
| Doing Business As | GRAND VALLEY ENT AND PLASTIC SURGEONS |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN THOMAS President And CEO 970-644-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2024-01-29 |