| NPI | 1487623146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G RAINER Medical Director 970-565-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2010-01-05 |