NPI | 1568075893 |
---|---|
Doing Business As | UCHEALTH MEDICAL GROUP |
Other Name | UCHEALTH PRIMARY CARE - FONTANERO |
Entity Type | Organization |
Authorized Contact | JANA CONROY Director Of Credentialing 719-365-7420 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-08-26 |
Last Update Date | 2024-08-01 |