| NPI | 1215711023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDE YOUNGER CFO 719-651-9443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery |
| Additional Taxonomies | 208600000X Surgery |
| 2086S0102X Surgery, Surgical Critical Care | |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-08-24 |