| NPI | 1629689658 |
|---|---|
| Other Name | WILDHORSE SPORTSMED |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DANIEL RIEBER Uc Health CFO 970-871-2370 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2023-11-13 |