| NPI | 1891506960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BINTZ CEO 970-270-7929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-03-25 |