| NPI | 1851695985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA J MCCANN Billing Manager 970-980-6024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: CO 37885) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |