| NPI | 1497350706 | 
|---|---|
| Other Name | CENTURA MEDICAL GROUP INTERNAL MEDICINE CASTLE ROCK | 
| Doing Business As | IMCR INT MED C ROCK | 
| Entity Type | Organization | 
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine | 
| Enumeration Date | 2020-12-03 | 
| Last Update Date | 2020-12-03 |