| NPI | 1700839248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. THOMAS CREPPS M.D./Member 719-477-1033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CO 31124) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |