# PORTERCARE ADVENTIST HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PARKER ENDOCRINOLOGY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659620060
- **Authorized official:** DAVID L WATSON M.D. (C.M.O.)
- **Authorized official phone:** (303) 673-7181

## Contact information

- **Practice address:** 9397 CROWN CREST BLVD, SUITE 431, PARKER, CO 80138-8575
- **Practice address phone:** (303) 649-3115
- **Practice address fax:** (303) 649-3116
- **Mailing address:** PO BOX 911244, DENVER, CO 80291-1244
- **Mailing address phone:** (303) 643-1099
- **Mailing address fax:** (303) 643-1176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2012
- **Last updated:** 04/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03656748 | — | CO |