| NPI | 1952301202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN OGDEN Practice Administrator 719-578-5176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2022-07-21 |