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Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Pain Specialists Lone Tree, PSLT PAIN SPEC LT
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA J SKINNER (ADMINISTRATOR/OMA)
(303) 673-7175
Entity
Organization
Contact information
Practice address
9695 S YOSEMITE ST STE 255C, LONE TREE, CO 80124-2890
(303) 715-7670
(303) 715-7671
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1106
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
12/30/2021
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