| NPI | 1972078814 |
|---|---|
| Other Name | SOUTHWEST MEMORIAL PROVIDER GROUP |
| Entity Type | Organization |
| Authorized Contact | TRAVIS PARKER Chief Human Resources Officer 970-564-2163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 208M00000X Hospitalist |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2023-06-20 |