| NPI | 1033292214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE M MITCHELL Partner 719-632-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 0108) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2014-04-28 |