| NPI | 1679285795 |
|---|---|
| Other Name | CENTURA SPECIALTY CARE ASSOCIATES DODGE CITY |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2022-12-20 |