| NPI | 1700054772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J. MCCLURE Owner 970-259-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CO 1963) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR-40091) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 5468) | |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |