| NPI | 1972691400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN A KINLUND COO 970-477-4456 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 207T00000X Neurological Surgery | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2025-10-10 |