| NPI | 1407993132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBASS SHAFII President 719-473-6115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 1236) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |