| NPI | 1174319263 |
|---|---|
| Doing Business As | MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JODI M KILLILEA CEO 719-761-2985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-04-16 |