| NPI | 1508178385 |
|---|---|
| Doing Business As | CENTURA HEALTH PHYSICIAN GROUP CORNERSTAR PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | ANGELA SKINNER Oma Administrator 303-643-0925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2014-09-03 |