| NPI | 1053920165 |
|---|---|
| Doing Business As | BCAV BREASTCARE AVISTA |
| Other Name | CENTURA HEALTH PHYSICIAN GROUP CENTER FOR BREAST CARE PAHS |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |