| NPI | 1356492219 |
|---|---|
| Other Name | CORWIN CLINIC SURGICAL, PC |
| Entity Type | Organization |
| Authorized Contact | GARY E. LANE President 719-564-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2011-03-23 |