| Centura Health Physician Group Gi Pahs | |
|
2352 Meadows Blvd Suite 300 Castle Rock CO 80109-8406 | |
| (720) 455-3879 | |
| (720) 455-3795 |
| Full Name | Centura Health Physician Group Gi Pahs |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2352 Meadows Blvd, Castle Rock, Colorado |
| Authorized Official Name and Position | Angela Skinner (ADMINISTRATOR OMA) |
| Authorized Official Contact | 3036737175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centura Health Physician Group Gi Pahs Po Box 911244 Denver CO 80291-1244 Ph: (303) 643-1099 | Centura Health Physician Group Gi Pahs 2352 Meadows Blvd Suite 300 Castle Rock CO 80109-8406 Ph: (720) 455-3879 |
| NPI Number | 1619390234 |
|---|---|
| Provider Enumeration Date | 02/03/2014 |
| Last Update Date | 06/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619390234 | NPI | - | NPPES |
| 19452730 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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