NPI | 1497708440 |
---|---|
Former Legal Business Name | GARDEN VILLAGE PHYSICIANS |
Entity Type | Organization |
Authorized Contact | MCIHELLE DAWN TONOZZI Practice Administrator 970-242-2660 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-05-19 |
Last Update Date | 2008-04-20 |