| NPI | 1396957114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL EVANS SCHALER President 719-539-6637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO 208D00000X) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-03-24 |