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 |