| NPI | 1578494506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LIZETH PLASCENCIA First Assist 719-369-3450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2026-05-27 |
| Last Update Date | 2026-05-27 |