NPI | 1902500556 |
---|---|
Entity Type | Organization |
Authorized Contact | RODNEY SCOTT KEEL Medical Director 719-362-3553 |
Organization Subpart ? | No |
Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
Enumeration Date | 2023-03-28 |
Last Update Date | 2025-08-18 |