| NPI | 1679408009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL NORTH Gastroenterologist 970-691-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2026-06-16 |
| Last Update Date | 2026-06-16 |