| NPI | 1386838787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY A TARSHIS Owner 719-597-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 29971) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2013-01-14 |