| NPI | 1730100769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILMER PEREZ Owner Physician 719-542-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO CO026305) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO CO026305) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |