| NPI | 1093739757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES FRED REPPERT Sole Proprietorship 719-275-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 22797) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2021-03-29 |