| NPI | 1619502622 |
|---|---|
| Doing Business As | GUNNISON VALLEY FAMILY MEDICINE AT WCU |
| Entity Type | Organization |
| Authorized Contact | MARK VANDERVEER CFO 970-642-4760 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2022-04-18 |