| NPI | 1487894762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JOHN VECCHIARELLI Owner 719-550-5180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 31061) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-07-22 |