Organization
CENTURA VENTURES, LLC
Active
Other names
Centura Health Physician Group Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SUE JARDON (ADMINISTRATOR)
(719) 571-8899
Entity
Organization
Contact information
Practice address
3030 N CIRCLE DR, SUITE 212, COLORADO SPRINGS, CO 80909-1177
(719) 776-4852
Mailing address
1391 SPEER BLVD, SUITE 600, DENVER, CO 80204-2508
(303) 561-5000
(303) 561-5050
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
08/25/2015
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