| NPI | 1417929597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID SHARON President 719-477-0211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: CO 34226) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2020-08-22 |