Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Other names
Centura Health Physician Group Southwest Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA ADMINISTRATOR)
(303) 673-7175
Entity
Organization
Contact information
Practice address
1010 THREE SPRINGS BLVD, SUITE 255, DURANGO, CO 81301-8296
(970) 764-3780
(970) 764-3785
Mailing address
PO BOX 911057, DENVER, CO 80291-1057
(303) 643-1099
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48459275
—
CO
Enumeration date
09/26/2014
Last updated
04/20/2016
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