| NPI | 1588089718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES J GORMAN Owner / Provider 719-313-6028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 10199) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2023-10-20 |