| NPI | 1811300403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DEGEN KIRK President 970-669-1107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 28606) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2015-03-30 |