| NPI | 1841238250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA JACOBSON Practice Administrator 970-257-6902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2022-09-16 |