| NPI | 1013557693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIOTR KRZYZANOWSKI Manager 719-201-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2022-10-26 |