| NPI | 1073708657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA T HOCATE Owner 719-475-9613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: CO 41734) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |