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
—
—
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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