| NPI | 1952099749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOAH LAZARUS CEO 719-867-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-04-28 |