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Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
SOUTH QUEBEC FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P. HESSELINK (VP-FINANCE PE)
(303) 804-8136
Entity
Organization
Contact information
Practice address
6081 SOUTH QUEBEC ST., SUITE 110, CENTENNIAL, CO 80111
(303) 770-5600
(303) 770-2211
Mailing address
P.O. BOX 911244, DENVER, CO 80291-1244
(303) 486-5401
(303) 347-9912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/03/2012
Last updated
05/09/2012
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