NPI | 1295787703 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID A HOOVER President 719-590-1177 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
207W00000X Ophthalmology | |
208000000X Pediatrics | |
213E00000X Podiatrist | |
207QS0010X Family Medicine, Sports Medicine | |
2080P0208X Pediatrics, Pediatric Infectious Diseases | |
363AM0700X Physician Assistant, Medical | |
363L00000X Nurse Practitioner | |
207V00000X Obstetrics & Gynecology | |
208M00000X Hospitalist | |
Enumeration Date | 2006-05-16 |
Last Update Date | 2014-05-13 |