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Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Health Physician Group Women's Health Boulder
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA / ADMINISTRATOR)
(303) 643-0925
Entity
Organization
Contact information
Practice address
805 S BROADWAY ST, SUITE 103, BOULDER, CO 80305-5971
(303) 649-3240
(720) 582-9903
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(303) 643-1040
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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