| NPI | 1366530404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KEITH SPEES Physician Treasurer 719-531-0409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2010-09-09 |