| NPI | 1881231660 |
|---|---|
| Doing Business As | GRAND VALLEY ENT & FACIAL PLASTIC SURGEONS FRUITA |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN THOMAS President/CEO 970-644-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2019-11-29 |
| Last Update Date | 2025-05-15 |