| NPI | 1942207196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL SCHWARZBACH Administrator 970-298-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 1611ND) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2018-09-11 |