| NPI | 1649439324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C. SCOTT RUSSELL President 719-433-0342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 40143) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2009-02-17 |