| NPI | 1912183146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS SAMUEL DAVIS President 970-667-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CO 5960) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-02-08 |