| NPI | 1841418563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN A. SMITH Physician 719-545-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CO 38322) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2008-01-07 |