| NPI | 1972056034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BYER Practice Administrator 719-473-0872 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2017-05-22 |