| NPI | 1821629155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA CONROY Credentialing Manager 970-624-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |