| NPI | 1699777912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANDRA LYNCH Director/Officer 970-349-1046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 512338) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-08-22 |