| NPI | 1497011373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIMIE ZELKIN Np 970-846-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CO 990321) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |