| NPI | 1851792097 |
|---|---|
| Doing Business As | CENTURA HEALTH PHYSICIAN GROUP AVISTA NEUROSCIENCE |
| Entity Type | Organization |
| Authorized Contact | ANGELA SKINNER Oma Administrator 303-643-0925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2015-09-25 |