| NPI | 1124216940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOT FRANCIS SICKBERT Physician 719-761-0397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 25001) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |