| NPI | 1114538733 |
|---|---|
| Other Name | CMG PRIMARY CARE 84TH AVENUE |
| Doing Business As | SNHC FAMILY MED & RES |
| Entity Type | Organization |
| Authorized Contact | ANGELA JO SKINNER Administrator Oma 720-667-7283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2024-06-24 |