| NPI | 1932853561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHETT J GRIGGS Sole Owner 970-901-1287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma | |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-02-11 |