| NPI | 1407805948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI FRAILEY Human Resources 719-389-1108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2022-01-07 |