| NPI | 1316184120 |
|---|---|
| Doing Business As | 10KSPORTSMED |
| Entity Type | Organization |
| Authorized Contact | JOSEPH DOUGLAS YEAKEL President 719-293-4897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2019-10-17 |