| NPI | 1861823981 |
|---|---|
| Doing Business As | CENTURA HEALTH PHYSICIAN GROUP GRACE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | ANGELA SKINNER Oma Administrator 303-643-0925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-12-01 |
| Last Update Date | 2013-12-01 |