| NPI | 1801306477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS L. FLINT COO 719-502-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| 2085B0100X Radiology, Body Imaging | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |