| NPI | 1619390234 |
|---|---|
| Doing Business As | CENTURA HEALTH PHYSICIAN GROUP GI PAHS |
| Entity Type | Organization |
| Authorized Contact | ANGELA SKINNER Administrator Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2016-06-28 |