| NPI | 1447583026 |
|---|---|
| Doing Business As | PMR |
| Entity Type | Organization |
| Authorized Contact | HEATHER MATZKE Practice Administrator 719-550-2884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-10-29 |