NPI | 1508858481 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE N BLOINK Office Manager 970-565-5463 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 28892) |
Enumeration Date | 2005-08-17 |
Last Update Date | 2020-08-22 |