| NPI | 1811999758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE RICHARDSON Administrator 970-297-6931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO 31863) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 31863) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2008-02-22 |