| NPI | 1740884246 |
|---|---|
| Doing Business As | THE BREAST CENTER AT VALLEY VIEW |
| Entity Type | Organization |
| Authorized Contact | CHARLES CREVLING CFO 970-384-6606 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-12-17 |