| NPI | 1740437896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA TAPPAN Administrator 719-632-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: CO 16C965) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |