| NPI | 1548669666 |
|---|---|
| Doing Business As | CENTURA HEALTH PHYSICIAN GROUP SOUTHLANDS PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | ANGELA SKINNER Administrator Oma 303-643-0925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2015-09-25 |