| NPI | 1376970012 |
|---|---|
| Doing Business As | CENTURA HEALTH PHYSICIAN GROUP CASTLE ROCK ENT |
| Entity Type | Organization |
| Authorized Contact | ANGELA SKINNER Oma Administrator 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2016-04-28 |