| NPI | 1982576492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA CONROY Director Of Credentialing 970-624-4443 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-09-23 |