| NPI | 1740623842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ALBERT MUNSON Owner 719-473-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CO 14847) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |