NPI | 1104267335 |
---|---|
Doing Business As | CENTURA HEALTH PHYSICIAN GROUP AT DTC |
Entity Type | Organization |
Authorized Contact | ANGELA SKINNER Oma Administrator 303-643-0925 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2013-07-16 |
Last Update Date | 2015-09-24 |