| NPI | 1770194045 |
|---|---|
| Doing Business As | PRDT PC DTC |
| Other Name | CENTURA PRIMARY CARE LANDMARK |
| Other Name | CHPG AT DTC |
| Other Name | CHPG PRIMARY CARE S DENVER |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2022-10-31 |