| NPI | 1720269434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONNIE MARTIN CEO 719-587-1206 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 208600000X Surgery |
| 208M00000X Hospitalist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 367A00000X Advanced Practice Midwife | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics (Licence: CO 011001) | |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2013-07-01 |