NPI | 1205549821 |
---|---|
Other Name | CMG PRIMARY CARE DODGE CITY |
Doing Business As | SCDC FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | ANGELA JO SKINNER Administrator Oma 720-667-7283 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2022-12-28 |
Last Update Date | 2024-06-25 |