| NPI | 1760578660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIREYA MASFERRER Administrator 719-448-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO 30808) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2013-07-31 |