| NPI | 1558528919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE J WALLS Office Manager 719-564-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 38729) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-10-29 |