NPI | 1770248189 |
---|---|
Entity Type | Organization |
Authorized Contact | SMITA PATEL Owner 719-310-6731 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 207Q00000X Family Medicine |
261QI0500X Clinic/Center, Infusion Therapy | |
Enumeration Date | 2021-11-02 |
Last Update Date | 2021-12-13 |