NPI | 1770507428 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY MICHAEL CLOWER President 719-275-4151 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 20545) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2007-10-19 |