| NPI | 1134614936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNES M FLAUM Owner/Medical Director 719-219-2320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain (Licence: CO 0056860) |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care (Licence: CO 0056860) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |