NPI | 1679026256 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT TODD BOYER Owner 970-644-5999 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 50272) |
Enumeration Date | 2016-07-29 |
Last Update Date | 2016-07-29 |