| NPI | 1629550868 |
|---|---|
| Doing Business As | PIKES PEAK PRIMARY CARE LLC |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA R BEHRENS Advance Practice Nurse 719-632-3757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CO 103967) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |