NPI | 1841543253 |
---|---|
Entity Type | Organization |
Authorized Contact | RHETT JACKSON GRIGGS President 970-964-8472 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO 46388) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 49615) |
Enumeration Date | 2012-10-23 |
Last Update Date | 2015-02-03 |