| NPI | 1396067310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANN EADS President/Owner 719-687-8752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 36828) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-22 |