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Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Health Physician Group Castle Rock Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA ADMINISTRATOR)
(303) 643-0925
Entity
Organization
Contact information
Practice address
2352 MEADOWS BLVD, SUITE 300, CASTLE ROCK, CO 80109-8405
(720) 455-3770
(720) 455-3771
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(303) 643-1100
(303) 643-1174
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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