| 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 |