| NPI | 1992921837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE LYNN HALLING President 719-632-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AZ 34599) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-10-02 |