NPI | 1831561109 |
---|---|
Doing Business As | MOAV MED ONC AVISTA |
Other Name | CENTURA HEALTH PHYSICIAN GROUP MEDICAL ONCOLOGY AVISTA |
Entity Type | Organization |
Authorized Contact | ANGELA SKINNER Oma / Administrator 303-673-7175 |
Organization Subpart ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology |
Enumeration Date | 2015-10-27 |
Last Update Date | 2020-12-22 |