| NPI | 1336758838 |
|---|---|
| Doing Business As | ETRK ENT CRK |
| Other Name | CHPG CASTLE ROCK ENT |
| Other Name | CHPG SPC METRO A |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-12-21 |