| Centura Health Physician Group Grace Family Practice | |
|
6909 S Holly Cir Suite 100 Centennial CO 80112-1042 | |
| (720) 528-3559 | |
| (720) 528-9903 |
| Full Name | Centura Health Physician Group Grace Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 6909 S Holly Cir, Centennial, Colorado |
| Authorized Official Name and Position | Angela Skinner (OMA ADMINISTRATOR) |
| Authorized Official Contact | 3036430925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centura Health Physician Group Grace Family Practice Po Box 911244 Denver CO 80291-1244 Ph: (303) 643-1100 | Centura Health Physician Group Grace Family Practice 6909 S Holly Cir Suite 100 Centennial CO 80112-1042 Ph: (720) 528-3559 |
| NPI Number | 1861823981 |
|---|---|
| Provider Enumeration Date | 12/01/2013 |
| Last Update Date | 12/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861823981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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