| NPI | 1649884396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA CONROY Director Of Credentialing 970-619-6100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2024-08-05 |