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Organization
CENTURA VENTURES, LLC
Active
Organization
CENTURA VENTURES, LLC
Active
Other names
Centura Health Physician Group Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SUE JARDON (ADMINISTRATOR)
(719) 571-8899
Entity
Organization
Contact information
Practice address
3030 N CIRCLE DR, SUITE 212, COLORADO SPRINGS, CO 80909-1177
(719) 776-4852
Mailing address
1391 SPEER BLVD, SUITE 600, DENVER, CO 80204-2508
(303) 561-5000
(303) 561-5050
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
—
NULL
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
08/25/2015
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