| NPI | 1295477222 |
|---|---|
| Other Name | CENTURA PRIMARY CARE GREEN VALLEY RANCH |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2022-04-11 |