| NPI | 1790393494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA CONROY Credentialing Manager 970-624-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2021-10-05 |