| NPI | 1265995518 |
|---|---|
| Doing Business As | CENTURA HEALTH PUEBLO WEST PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | ANGELA SKINNER Director Office Of Medical Affairs 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |