| 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 |