| NPI | 1992573505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE SWANSON Practice Manager 970-689-3236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |