| NPI | 1093174146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL KACHER Physician Assistant 719-429-6232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 52749) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |