NPI | 1962609560 |
---|---|
Entity Type | Organization |
Authorized Contact | BHAKTASHARAN C PATEL President 719-433-7224 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 16C871) |
Enumeration Date | 2007-06-28 |
Last Update Date | 2019-10-11 |