| NPI | 1871109546 |
|---|---|
| Other Name | CHPG SOUTHLANDS PRIMARY |
| Doing Business As | SLNH PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |