| NPI | 1922347129 |
|---|---|
| Doing Business As | FOUR CORNERS SURGICAL |
| Entity Type | Organization |
| Authorized Contact | ANTHONY SUDDUTH CEO 970-564-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR0039709) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2018-06-06 |