NPI | 1982013082 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANCIS F JOSEPH Owner 719-694-9856 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 43961) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 43961) |
Enumeration Date | 2014-08-04 |
Last Update Date | 2020-11-10 |