| NPI | 1265601645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE A. DEBAUN Practice Manager 719-598-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 32725) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-11-24 |