NPI | 1417060898 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDY R WILLIAMS Billing Manager 719-635-7321 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 0881) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2016-11-22 |