| NPI | 1861990699 |
|---|---|
| Other Name | WESTERN COLORADO PHYSICIANS GROUP |
| Entity Type | Organization |
| Authorized Contact | BEVERLY J CLARK Credentialing Coordinator 970-254-2642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2022-01-04 |