| NPI | 1477953016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN M MAXWELL Owner 970-249-5347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CO RN.0174594) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |