| NPI | 1053923672 |
|---|---|
| Doing Business As | PRSM PC SOUTHMOOR |
| Other Name | CHPG PRIMARY CARE SOUTHMOOR |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-09-16 |