| NPI | 1275866907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LIEBERMAN Physician 719-369-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-12-22 |