| NPI | 1801994157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE BEDDOE Credentialing Coordinator 970-212-0879 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-09-11 |