| NPI | 1720874175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA CONROY Director Of Credentialing 719-562-2030 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-15 |