Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2007-05-08
- Last updated
- 2020-08-22
Specialties
Licenses
- License CO
- AL-0307
Location
- Practice location
- 1805 32ND ST
- City
- EVANS CO
- Postal code
- 806203422
- Phone
- 970-346-9891
Organization contact
- Name
- JERRY CHRISTIAN
- Title
- President
- Phone
- 9705060006
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.