| NPI | 1407219579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION LEE SCHMUCKER Owner 719-384-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0992269-NP) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |