| NPI | 1578095832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ADRAGNA Business Operations Director 970-497-4921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO CAPN0000451CNP) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CO PA.0003531) |
| 261QP2300X Clinic/Center, Primary Care (Licence: CO PA.0004519) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: CO DR.0052752) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |