| NPI | 1790011989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA L GARD Office Manager 970-249-6737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 48006) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2012-03-21 |