| NPI | 1689788192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L SORIANO Owner 970-542-0930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 38136) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-11-02 |