| Centura Health Physician Group Southwest Endocrinology | |
|
1010 Three Springs Blvd Suite 255 Durango CO 81301-8296 | |
| (970) 764-3780 | |
| (970) 764-3785 |
| Full Name | Centura Health Physician Group Southwest Endocrinology |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1010 Three Springs Blvd, Durango, Colorado |
| Authorized Official Name and Position | Angela Skinner (OMA ADMINISTRATOR) |
| Authorized Official Contact | 3036737175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centura Health Physician Group Southwest Endocrinology Po Box 911057 Denver CO 80291-1057 Ph: (303) 643-1099 | Centura Health Physician Group Southwest Endocrinology 1010 Three Springs Blvd Suite 255 Durango CO 81301-8296 Ph: (970) 764-3780 |
| NPI Number | 1114329745 |
|---|---|
| Provider Enumeration Date | 09/26/2014 |
| Last Update Date | 04/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114329745 | NPI | - | NPPES |
| 48459275 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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