| NPI | 1164421582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL K SMITH Partner 719-574-6653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: CO BC2020422) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2011-01-05 |