NPI | 1164061099 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGARET ETHEL MACDONALD President/Owner 719-249-0217 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2019-12-23 |
Last Update Date | 2021-03-24 |