| NPI | 1942601182 |
|---|---|
| Doing Business As | CENTURA HEALTH PHYSICIAN GROUP CHURCH RANCH GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | ANGELA SKINNER Oma Administrator 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2016-04-20 |