| NPI | 1497305478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA CONROY Director Of Credentialing 719-562-2300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 246XC2901X Specialist/Technologist Cardiovascular Cardiovascular Invasive Specialist |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2024-12-02 |