| NPI | 1417225079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE WILLIAMS Authorized Official 719-457-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: CO 89596) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2020-07-01 |