| NPI | 1225847460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA CONROY Director Of Credentialing 719-584-4921 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine | |
| 208M00000X Hospitalist | |
| 261QE0002X Clinic/Center Emergency Care | |
| 363LN0000X Nurse Practitioner Neonatal | |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-04-21 |