| NPI | 1730957192 |
|---|---|
| Doing Business As | EAST CROSSROADS CLINIC - GENERAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JON MCDANIEL VP Fiance Medial Group 303-272-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2024-06-28 |