| NPI | 1467606756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS CHARLES JOHNSON President 719-395-4512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR-33922) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |