| NPI | 1669790572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S. JENSEN Owner/Doctor 970-279-4099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CO 1215083241) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2011-10-21 |