NPI | 1417569922 |
---|---|
Doing Business As | SSIM S SUBURBAN INT MD |
Other Name | SOUTH SUBURBAN INTERNAL MEDICINE |
Other Name | CHPG PRIMARY CARE S DENVER |
Entity Type | Organization |
Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2020-08-18 |
Last Update Date | 2020-12-18 |