| NPI | 1700567955 | 
|---|---|
| Other Name | ADVENTHEALTH MEDICAL GROUP COLORECTAL AT CASTLE ROCK | 
| Entity Type | Organization | 
| Authorized Contact | ANGELA JO SKINNER Administrator, Oma 720-667-7283 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery | 
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology | 
| Enumeration Date | 2023-07-31 | 
| Last Update Date | 2023-07-31 |