| NPI | 1982898425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON M RUBICK Owner 719-955-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 37183) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2011-08-04 |