| NPI | 1730358698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD KENT STIVERSON CEO/President 719-289-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR-23150) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-12-18 |