| NPI | 1942259916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROBIN FULCHER Managing Member 970-375-6297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0049896) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS7822) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2018-01-09 |