| NPI | 1194751784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WILLIS KESSLER Medical Director Managing Member 719-565-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 0939) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2021-07-07 |