| NPI | 1376659060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET S PETERSON Billing Manager 719-676-7060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 123859) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |