| NPI | 1255766028 |
|---|---|
| Doing Business As | GTMM GASTRO MMD |
| Other Name | CENTURA HEALTH PHYSICIAN GROUP SOUTHWEST GASTROENTEROLOGY |
| Doing Business As | CENTURA HEALTH PHYSICIAN GROUP SOUTHWEST GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2020-07-27 |