| NPI | 1811784317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA CONROY Director Of Credentialing 719-564-1542 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-04-21 |