| NPI | 1346421179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R BURROUGHS Owner 719-473-8801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO 44251) |
| Additional Taxonomies | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CO 44251) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2019-11-19 |