| NPI | 1316029069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE A CHAVEZ-VELASQUEZ Front Office 719-471-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |