| NPI | 1487192282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN A HUEBSCH Member 970-309-9158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |