| NPI | 1548513781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARI A RILEY Medical Director 970-686-9117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR0049628) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 207L00000X Anesthesiology (Licence: CO DR0027625) | |
| 225100000X Physical Therapist | |
| 111NR0400X | |
| 111N00000X Chiropractor | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2014-05-13 |