| NPI | 1619165958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI J FITZGERALD President 970-453-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 26641) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2009-12-31 |