| NPI | 1962454405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ANN SHOBE Executive Director 970-254-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 0896) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |