| NPI | 1740467315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK J MOSLEY Owner 970-241-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: CO 39442) |
| Enumeration Date | 2008-01-26 |
| Last Update Date | 2008-01-26 |