| NPI | 1881101640 |
|---|---|
| Doing Business As | FAMILY WALK IN CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEREMY R GROVER Owner 970-584-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2019-03-14 |