| NPI | 1053363457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE FINKLE Rcm Sr. Director 719-243-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy (Licence: FL PH24372) |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: FL ME109651) | |
| 291U00000X Clinical Medical Laboratory (Licence: FL 800025838) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2025-07-11 |