| NPI | 1962376384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS DEANE HANSEN CEO 970-560-3659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |