| NPI | 1871658658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. BAXTER Operations Manager 719-253-7032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 0150) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2008-02-04 |