| NPI | 1194135657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY CRANCE Physician 719-475-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO DR00053716) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CO DR00016135) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2024-07-02 |