| NPI | 1528269099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MARIE PETERSON Practice Administrator 719-471-7064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 39343) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2024-10-16 |