| NPI | 1043602824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN BACHELDOR Owner 719-659-3685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2019-11-04 |