| NPI | 1003446485 |
|---|---|
| Other Name | CENTURA MEDICAL GROUP PRIMARY CARE ELIZABETH |
| Doing Business As | PREL PC ELIZABETH |
| Entity Type | Organization |
| Authorized Contact | JASON TACHA COO 303-304-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2024-03-19 |