| NPI | 1639234818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE J JUETERSONKE President 719-597-6075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |