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Organization
PORTERCARE ADVENTIST HEALTH SYSTEMS
Active
Organization
PORTERCARE ADVENTIST HEALTH SYSTEMS
Active
Other names
Avista Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA ADMINISTRATOR)
(303) 673-7175
Entity
Organization
Contact information
Practice address
611 MITCHELL WAY, SUITE 103, ERIE, CO 80516-5441
(303) 269-2780
(303) 269-2790
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(303) 643-1099
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/20/2010
Last updated
04/20/2016
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