| NPI | 1356980940 |
|---|---|
| Doing Business As | SFPH SPORT FAM MED PH |
| Other Name | CENTURA SPORTS MEDICINE N NEVADA |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2020-06-18 |