| NPI | 1952341752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOJCIECH K KOSEK Secretary Of The Corporation 719-260-8630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 41419) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2018-06-21 |