| NPI | 1306595319 |
|---|---|
| Doing Business As | CENTURA PRIMARY & SPECIALTY CARE ASSOCIATES DODGE CITY |
| Entity Type | Organization |
| Authorized Contact | ANGELA SKINNER Director Office Medical Affairs 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-03-18 |