| NPI | 1487856407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW C YOUNG Partner Physician 719-686-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 43176) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2008-08-06 |