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Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Health Physician Group GI PAHS
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (ADMINISTRATOR OMA)
(303) 673-7175
Entity
Organization
Contact information
Practice address
2352 MEADOWS BLVD, SUITE 300, CASTLE ROCK, CO 80109-8406
(720) 455-3879
(720) 455-3795
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(303) 643-1099
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
02/03/2014
Last updated
06/28/2016
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