| NPI | 1841137635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH WEISGERBER Cst/Csfa 970-201-4384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2026-04-30 |
| Last Update Date | 2026-04-30 |