| NPI | 1821013699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L WICKLINE Managing Member 719-344-5651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 31482) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2014-03-24 |