| NPI | 1972981462 |
|---|---|
| Doing Business As | CENTURA HEALTH PHYSICIAN GROUP ORTHOPEDICS & SPORTS MEDICINE PORTER |
| Entity Type | Organization |
| Authorized Contact | ANGELA SKINNER Oma / Administrator 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2016-04-20 |