| NPI | 1720369150 |
|---|---|
| Doing Business As | TRADITIONAL FAMILY MEDICINE CENTER AT CENTURA HEALTH |
| Entity Type | Organization |
| Authorized Contact | DAVID P HESSELINK VP Finance Pe 303-804-8136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2012-05-09 |