| NPI | 1326253436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK PHILP CARROLL Medical Director 719-282-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2014-01-15 |