| NPI | 1184497638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMISON STRAHAN Physician/Owner 719-789-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202D00000X |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2025-09-08 |