| NPI | 1619927852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE DEIGNAN Md/President 719-365-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2014-11-06 |