| NPI | 1932410693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BETH SCHMIDT Doctor 970-204-1391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 3671) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2010-06-28 |