| NPI | 1740068030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HAMME Owner 719-299-0249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |