NPI | 1811363583 |
---|---|
Entity Type | Organization |
Authorized Contact | LIZETTE ETCHEVERRY Business Administrator 970-242-7060 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO 31768) |
Enumeration Date | 2015-08-18 |
Last Update Date | 2023-04-03 |