| NPI | 1740448018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ALAN ROSS President 970-879-2327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: CO 28354) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2021-04-26 |