| NPI | 1578604120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK J LILLIS President 970-667-3116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 0855) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |