| NPI | 1235185547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S. WARNER President 719-576-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2021-08-16 |