| NPI | 1730126558 |
|---|---|
| Doing Business As | MISSION MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARCELLA J RUCH CEO 719-227-0434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: CO 0567) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |