NPI | 1326229287 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER COPELAND Office Manager 719-635-3764 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 111N00000X Chiropractor |
207R00000X Internal Medicine | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
208000000X Pediatrics | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
208VP0000X Pain Medicine, Pain Medicine | |
261QU0200X Clinic/Center, Urgent Care | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2007-11-20 |
Last Update Date | 2024-08-29 |