| NPI | 1710761002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI ELAINE GORTON Nurse Practitioner 970-492-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |