Organization
CENTURA HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TREY DODSON MD (PROGRAM DIRECTOR)
(303) 430-5560
Entity
Organization
Contact information
Practice address
8510 BRYANT ST, SUITE 200, WESTMINSTER, CO 80031-3844
(303) 430-5560
Mailing address
8510 BRYANT ST, SUITE 200, WESTMINSTER, CO 80031-3844
(303) 430-5560
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
48421
CO
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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