| NPI | 1386042844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LIPPERT Owner 719-380-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CO DR0025034) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |