| NPI | 1346851268 |
|---|---|
| Doing Business As | SFPB SPORT FAM MED PB |
| Other Name | CMG ROCKY MOUNTAIN SPORTS & FAMILY MEDICINE PUEBLO |
| Entity Type | Organization |
| Authorized Contact | ANGELA JO SKINNER Administrator Oma 720-667-7283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2024-06-24 |