| NPI | 1356539605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA HOUSE JAVEED President 719-475-2566 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CO 38764) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2010-11-01 |