| NPI | 1619212768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E BROWN President 970-356-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2012-11-30 |