NPI | 1750885273 |
---|---|
Entity Type | Organization |
Authorized Contact | JORDAN GABRIEL MARTIN Doctor/Owner 970-573-5955 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CO CHR.0007772) |
Enumeration Date | 2018-03-20 |
Last Update Date | 2018-03-20 |