| NPI | 1790162451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET JEAN WEAR Owner And Provider Of LLC 970-230-9315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 0078099) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |