# CENTENNIAL FAMILY CARE PC

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

## Provider details

- **NPI number:** 1710348818
- **Authorized official:** DR. ANGIE GENEVIEVE POTURALSKI M.D. (OWNER)
- **Authorized official phone:** (303) 471-2466

## Contact information

- **Practice address:** 7261 S BROADWAY STE 101A, LITTLETON, CO 80122-8018
- **Practice address phone:** (303) 471-2466
- **Practice address fax:** (303) 471-6066
- **Mailing address:** 7261 S BROADWAY STE 101A, LITTLETON, CO 80122-8018
- **Mailing address phone:** (303) 471-2466
- **Mailing address fax:** (303) 471-6066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DR.0033806 | CO | Yes |

## Other

- **Enumeration date:** 03/16/2016
- **Last updated:** 03/16/2016