| NPI | 1407380744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD LUFT Owner 719-457-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0001006) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2020-07-01 |