| NPI | 1457389777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LUEBBERT President 719-592-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-08-22 |