| NPI | 1780769349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A. CONNALLY Physician/Owner 970-223-5479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: CO 43258) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |