NPI | 1699319590 |
---|---|
Entity Type | Organization |
Authorized Contact | ANITA WIESCAMP Owner 719-510-0957 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2019-11-04 |
Last Update Date | 2023-08-30 |