| NPI | 1700396660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE FINKLE Rcm Sr. Director 719-243-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME109651) |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: FL ME109651) |
| 291U00000X Clinical Medical Laboratory (Licence: FL 800025838) | |
| 3336C0002X Pharmacy Clinic Pharmacy (Licence: FL PH24372) | |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2025-07-11 |