| NPI | 1750636650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FEEBACK Practice Administrator 970-221-9451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CO 35700) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2021-04-05 |