| NPI | 1558811950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ORTEGON President 719-546-3511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0992502-NP) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-20 |