| NPI | 1184221434 |
|---|---|
| Doing Business As | GOPC GYN ONC PAH |
| Other Name | CENTURA MEDICAL GROUP GYNECOLOGIC ONCOLOGY PORTER |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2022-10-13 |