NPI | 1316648637 |
---|---|
Other Name | UCHEALTH PODIATRY CLINIC - GRAND CORDERA |
Doing Business As | UCHEALTH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JANA CONROY Director Of Credentialing 719-365-7340 |
Organization Subpart ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist |
Enumeration Date | 2023-03-14 |
Last Update Date | 2024-07-15 |