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 |