| NPI | 1689098956 |
|---|---|
| Other Name | CENTURA HEALTH PHYSICIAN GROUP CENTER FOR BREAST CARE CHIC |
| Doing Business As | BCSH BREASTCARE ST ANT |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2020-07-23 |