| NPI | 1225382609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESPIRIDION MENDEZ Owner/Partner 719-337-8297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |