| NPI | 1013539113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA CONROY Director Of Credentialing 719-364-6487 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2024-06-11 |