| NPI | 1528570140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY OSCARSON Owner 719-373-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2017-11-05 |
| Last Update Date | 2020-06-25 |