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Organization
FOUNDERS - CENTURA MEDICAL GROUP LLC
Active
Organization
FOUNDERS - CENTURA MEDICAL GROUP LLC
Active
Other names
Founders - Centura Medical Group LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (DIRECTOR OFFICE OF MEDICAL AFFAIRS)
(303) 673-7175
Entity
Organization
Contact information
Practice address
4386 TRAIL BOSS DR STE A, CASTLE ROCK, CO 80104-7512
(303) 688-8666
(303) 687-8260
Mailing address
PO BOX 848349, BOSTON, MA 02284-8349
(303) 688-8666
(303) 688-8260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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