| NPI | 1669747093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI J GEARHART Cno 719-384-5412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2025-10-28 |