| NPI | 1861821563 |
|---|---|
| Doing Business As | CENTURA HEALTH PHYSICIAN GROUP PHYSICAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SUE JARDON Administrator 719-571-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation Spinal Cord Injury Medicine |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2015-08-25 |