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Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Health Physician Group Parker Pain Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA ADMINISTRATOR)
(303) 673-7175
Entity
Organization
Contact information
Practice address
15901 E BRIARWOOD CIR, SUITE 200, AURORA, CO 80016-1599
(303) 269-2626
(303) 269-2620
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(303) 643-1099
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59120274
—
CO
Enumeration date
09/08/2014
Last updated
04/20/2016
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