| NPI | 1679852321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW C YOUNG Partner/Physician 719-686-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 43176) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-09-15 |