| NPI | 1710544994 |
|---|---|
| Doing Business As | DCMH WEST ELK CLINIC |
| Entity Type | Organization |
| Authorized Contact | JODY ROEBER Cco 970-874-2256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2020-01-23 |