NPI | 1790971679 |
---|---|
Former Legal Business Name | EDWIN M WYMAN, MD, PC |
Entity Type | Organization |
Authorized Contact | KIM A ARCHULETA Office Manager 970-565-9500 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO 31702) |
Enumeration Date | 2007-09-24 |
Last Update Date | 2019-05-30 |