| NPI | 1841568169 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | MARY DEIGHTON Primary Care Manager 719-526-9277 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 286500000X Military Hospital (Licence: CO 286500000X) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |