| NPI | 1972902914 |
|---|---|
| Doing Business As | CENTURA HEALTH PHYSICIAN GROUP CHURCH RANCH PAIN SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | ANGELA SKINNER Administrator Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2016-04-20 |