Organization
CENTENNIAL FAMILY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGIE GENEVIEVE POTURALSKI M.D. (OWNER)
(303) 471-2466
Entity
Organization
Contact information
Practice address
7261 S BROADWAY STE 101A, LITTLETON, CO 80122-8018
(303) 471-2466
(303) 471-6066
Mailing address
7261 S BROADWAY STE 101A, LITTLETON, CO 80122-8018
(303) 471-2466
(303) 471-6066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0033806
CO
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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