# CENTURA VENTURES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centura Health Physician Group Physical Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861821563
- **Authorized official:** SUE JARDON (ADMINISTRATOR)
- **Authorized official phone:** (719) 571-8899

## Contact information

- **Practice address:** 3030 N CIRCLE DR, SUITE 212, COLORADO SPRINGS, CO 80909-1177
- **Practice address phone:** (719) 776-4852
- **Mailing address:** 1391 SPEER BLVD, SUITE 600, DENVER, CO 80204-2508
- **Mailing address phone:** (303) 561-5000
- **Mailing address fax:** (303) 561-5050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0004X | Spinal Cord Injury Medicine Physician | — | NULL | Yes |
| 2081P0004X | Spinal Cord Injury Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2013
- **Last updated:** 08/25/2015