| NPI | 1821340753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY ALAN GOLD President 719-635-5223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CO 22116) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |