| NPI | 1700264595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHI DECKER Department Secretary 970-298-7408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO TL0005527) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |