| 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 |