| NPI | 1124632765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY KAUP Office Manager 719-210-1814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2021-09-14 |