| NPI | 1831611086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY R MUHAMMAD Owner 719-368-6628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0052572) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-09-08 |