| NPI | 1477208320 |
|---|---|
| Doing Business As | SPIM S PARK INT MED |
| Other Name | CENTURA SOUTHPARK INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-02-18 |