| NPI | 1982731535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MORGAN Owner 719-276-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 2124) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 28791) |
| 363L00000X Nurse Practitioner (Licence: CO np4805) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2010-11-12 |