| NPI | 1568515492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY RILEY Office Manager 970-667-3565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 15838) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 22781) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-09-26 |