| NPI | 1770788770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDIRA KEDLAYA Owner Physician 719-545-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 44387) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO 44387) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2008-01-07 |