| NPI | 1225525132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAKESH KHOSLA President 719-544-2740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine (Licence: CO 543004) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-22 |