| NPI | 1013465327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ANDRESS Practice Manager 719-577-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 0022379) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |