| NPI | 1255608790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHISHOLM Practice Administrator 719-622-3410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: CO 46548) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 46548) |
| 207V00000X Obstetrics & Gynecology (Licence: CO 37232) | |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: CO 37232) | |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2013-06-17 |