NPI | 1528185998 |
---|---|
Doing Business As | WINGATE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | DAVID W TERRY Owner 970-254-9873 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 23358) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2020-08-22 |