| NPI | 1053654319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAIJU ABDULLA Owner/Medical Director 719-390-4335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 27593) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2021-05-03 |