NPI | 1124892526 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID CAUGHMAN Office Manager 719-299-0988 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2023-11-07 |
Last Update Date | 2024-11-01 |