| NPI | 1801206990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOTTA J FENDRICH Nurse Practitioner 719-545-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 105868) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-05-12 |