| 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 | 2023-12-20 |