| NPI | 1548469679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JAY DUCHARME President 719-630-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 17465) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |