NPI | 1831666452 |
---|---|
Entity Type | Organization |
Authorized Contact | DENISE CHRISTINE GARCIA Director, Credentialing 970-663-2742 |
Organization Subpart ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
Enumeration Date | 2018-11-01 |
Last Update Date | 2018-11-01 |