| NPI | 1740278936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ELAINE SCHMUCKER President 719-384-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 22033) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2017-12-05 |