| NPI | 1194708073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE HERTNER Medical Director 719-365-6820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 208M00000X Hospitalist |
| 207PT0002X Emergency Medicine, Medical Toxicology | |
| 2083T0002X Preventive Medicine, Medical Toxicology | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2021-08-13 |