| NPI | 1942395694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT E VINCENT President 970-242-3641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 33850) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-02-22 |