| NPI | 1912388026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHAKTASHARAN PATEL Managing Partner 719-310-6719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2019-10-11 |