| NPI | 1255763710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD KENT BOOK Owner/Provider 719-383-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 31834) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2020-10-08 |