| NPI | 1073593901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH THOMAS CREPPS President 719-477-1033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CO 31124) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2008-03-11 |