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Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Health Physician Group Lone Tree Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA/ ADMINISTRATOR)
(303) 643-0925
Entity
Organization
Contact information
Practice address
9695 S YOSEMITE ST, SUITE 255, LONE TREE, CO 80124-2888
(303) 649-3900
(303) 649-3910
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(303) 643-1040
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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