| NPI | 1013247667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BRUCE CLARK Member 719-481-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CO 11322) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |