| NPI | 1285865824 |
|---|---|
| Doing Business As | SOUTH SUBURBAN INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ANGELA SKINNER Oma Administrator 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2022-07-21 |