| NPI | 1053920538 |
|---|---|
| Other Name | CENTURA MEDICAL GROUP UROLOGY DTC |
| Doing Business As | URRK UROLOGY DTC |
| Other Name | CHPG SPC METRO A |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator Oma 303-671-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2021-04-14 |