# CENTRAL STATS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629214481
- **Authorized official:** RONA K KNUDSEN (CEO)
- **Authorized official phone:** (720) 472-2215

## Contact information

- **Practice address:** 191 UNIVERSITY BLVD, STE 602, DENVER, CO 80206-4613
- **Practice address phone:** (720) 472-2215
- **Mailing address:** 191 UNIVERSITY BLVD, STE 602, DENVER, CO 80206-4613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 38666 | CO | Yes |

## Other

- **Enumeration date:** 12/29/2008
- **Last updated:** 12/29/2008