| NPI | 1043204829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BYER Practice Administrator 719-473-0872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2020-10-06 |