| NPI | 1548965999 |
|---|---|
| Doing Business As | MT. SAN RAFAEL HOSPITAL SPECIALTY CLINICS |
| Entity Type | Organization |
| Authorized Contact | LORI NAVARETTE Controller 719-846-9213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208600000X Surgery |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-19 |