| NPI | 1124336169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOSEPH CAWLFIELD Owner/Provider 719-543-9158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 44041) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2011-08-18 |