| NPI | 1891576997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA CONROY Director Of Credentialing 719-564-1542 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2024-12-11 |