| NPI | 1932275047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE EDWARD ANDREA Owner President 970-403-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 33644) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2022-09-29 |