| NPI | 1790737856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALDON G LANDES Owner 970-348-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CO 41081) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-02-27 |