| NPI | 1548738495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BERGERSON Chief Executive Officer 970-419-7115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QE0800X Clinic/Center, Endoscopy |
| 261QP1100X Clinic/Center, Podiatric | |
| 261QP3300X Clinic/Center, Pain | |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2022-10-26 |