| NPI | 1437549359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN BICKEL Provider 719-542-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 174400000X Specialist |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2022-07-21 |