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 |