| NPI | 1386256873 |
|---|---|
| Doing Business As | PRPW PC PUEBLO WEST |
| Other Name | CMG PRIMARY CARE PUEBLO WEST |
| Entity Type | Organization |
| Authorized Contact | ANGELA JO SKINNER Administrator, Oma 720-667-7283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2024-06-24 |