NPI | 1780047902 |
---|---|
Other Name | CMG PRIMARY CARE SOUTHWEST. LONGMONT |
Entity Type | Organization |
Authorized Contact | ANGELA JO SKINNER Administrator Oma 720-667-7283 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2016-04-04 |
Last Update Date | 2024-06-24 |