| NPI | 1750645461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LIBERMAN Owner 970-846-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CO 5333) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |