| NPI | 1497938351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD K BOOK Owner/Provider 719-383-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2020-11-10 |