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Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Health Physician Group Cornerstar Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA ADMINISTRATOR)
(303) 643-0925
Entity
Organization
Contact information
Practice address
15901 E BRIARWOOD CIR, SUITE 200, AURORA, CO 80016-1599
(303) 269-2626
(303) 269-2620
Mailing address
P.O. BOX 911244, DENVER, CO 80291-1244
(303) 486-5401
(303) 486-5502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/08/2010
Last updated
09/03/2014
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