NPI | 1811922438 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELLEY SUE BINKLEY President 970-945-4499 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CO 33235) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2020-08-22 |