Organization
CENTENNIAL WOMENS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M THERESE BARRETT (OWNER)
(303) 651-2800
Entity
Organization
Contact information
Practice address
231 E 9TH AVE, LONGMONT, CO 80504-4686
(303) 651-2800
Mailing address
231 E 9TH AVE, SUITE 1A, LONGMONT, CO 80504-4686
(303) 651-2800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29546
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01295468
—
CO
05
—
04484011
—
CO
05
—
1336399989
—
CO
Enumeration date
09/19/2008
Last updated
02/16/2010
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