| NPI | 1063811008 |
|---|---|
| Doing Business As | CENTURA HEALTH PHYSICIAN GROUP CHURCH RANCH HEART & VASCULAR HEALTH |
| Entity Type | Organization |
| Authorized Contact | ANGELA SKINNER Administrator Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2016-04-28 |