NPI | 1356088595 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL GLENN MERCHANT Medical Director 719-549-5483 |
Organization Subpart ? | No |
Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
Enumeration Date | 2022-05-18 |
Last Update Date | 2022-05-18 |