| NPI | 1871028266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA R BUXMAN Midwife 970-396-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CO 0000119) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |