| NPI | 1649276536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE RICHARDSON Administrator 970-227-6931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology | |
| 2086S0129X Surgery, Vascular Surgery | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2008-02-22 |