| NPI | 1578515367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PHILLIP HARPER Administrator 970-249-6842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 0539) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-04-20 |