| NPI | 1528680600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MOORE Revenue Cycle Director 970-384-6874 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |