| NPI | 1831670983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA HARDING Physician 970-812-9927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2025-10-11 |