| NPI | 1538774229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA CONROY Director Of Credentialing 719-365-6464 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2024-08-01 |