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Organization
CENTURA VENTURES, LLC
Active
Organization
CENTURA VENTURES, LLC
Active
Other names
CHPG Physical Medicine Church Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
SUE JARDON (ADMINISTRATOR)
(719) 571-8899
Entity
Organization
Contact information
Practice address
7233 CHURCH RANCH BLVD, JUNIPER POD, WESTMINSTER, CO 80021-4094
(303) 925-4003
(303) 925-4024
Mailing address
PO BOX 912425, DENVER, CO 80291-2425
(719) 562-6303
(303) 397-2103
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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