| NPI | 1992376719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE E BOLLINGER Owner 719-213-3185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-07-02 |