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 |