| NPI | 1164662052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE N NWEKE President 719-577-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 34753) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2017-03-14 |