| NPI | 1750386231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN WYCHE BICKEL CEO 719-545-6013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 137) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2013-09-17 |