| NPI | 1760416366 |
|---|---|
| Doing Business As | THE CENTENO CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOSEPH CENTENO Owner 303-429-6448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CO 33826) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CO 32265) |
| 363A00000X Physician Assistant (Licence: CO 1528) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |