| NPI | 1801208236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD JEFFREY DONNER Owner 970-342-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CO 30264) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2023-06-29 |