| NPI | 1164834008 |
|---|---|
| Doing Business As | CENTURA HEALTH PHYSICIAN GROUP PHYSICAL MEDICINE PAH |
| Entity Type | Organization |
| Authorized Contact | ANGELA SKINNER Oma / Adminstrator 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2016-04-20 |