| NPI | 1093699357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA L PROULX Owner 719-660-1684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-07-31 |