| NPI | 1861623720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIEN JAMES WHITTINGTON Owner/Manager 719-266-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 28716) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-10-06 |