| Centura Health Physician Group Southwest Gastroenterology | |
|
1010 Three Springs Blvd Suite 270 Durango CO 81301-8296 | |
| (970) 764-3800 | |
| (970) 764-3643 |
| Full Name | Centura Health Physician Group Southwest Gastroenterology |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1010 Three Springs Blvd, Durango, Colorado |
| Authorized Official Name and Position | Angela J 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 Southwest Gastroenterology Po Box 800022 Kansas City MO 64180-0022 Ph: (800) 953-0104 | Centura Health Physician Group Southwest Gastroenterology 1010 Three Springs Blvd Suite 270 Durango CO 81301-8296 Ph: (970) 764-3800 |
| NPI Number | 1255766028 |
|---|---|
| Provider Enumeration Date | 09/11/2013 |
| Last Update Date | 07/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255766028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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