| NPI | 1487292868 |
|---|---|
| Doing Business As | CMG PRIMARY CARE 10 |
| Entity Type | Organization |
| Authorized Contact | MEGAN HASKINS Credentialing Officer 970-263-2619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |