| NPI | 1205112596 |
|---|---|
| Doing Business As | ROCKY MOUNTAIN SPORTS AND FAMILY MEDICINE AT CENTURA |
| Entity Type | Organization |
| Authorized Contact | ANGELA SKINNER Oma Administrator 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2016-04-22 |