| NPI | 1770671497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN THORSON Physician 970-482-2791 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 19796) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 18564) |
| 207Q00000X Family Medicine (Licence: CO 32165) | |
| 207Q00000X Family Medicine (Licence: CO 39325) | |
| 207Q00000X Family Medicine (Licence: CO 39319) | |
| 207Q00000X Family Medicine (Licence: CO 42006) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-08-19 |