| NPI | 1558928515 |
|---|---|
| Doing Business As | GRAND MESA UROLOGY |
| Entity Type | Organization |
| Authorized Contact | JODY ROEBER Cco 970-874-2256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2020-12-23 |