| NPI | 1871192898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MOSELEY WALTON Practice Administrator, CFO 970-875-1673 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2024-05-15 |