NPI | 1447655709 |
---|---|
Doing Business As | CENTURA HEALTH PHYSICIAN GROUP CHURCH RANCH SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | ANGELA SKINNER Oma Administrator 303-673-7175 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2014-10-29 |
Last Update Date | 2016-04-28 |