| NPI | 1710066568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA HUDSON Office Manager 970-243-7908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 207V00000X) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |