# PORTERCARE ADVENTIST HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Affiliated Ear, Nose & Throat Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760761928
- **Authorized official:** DAVID L WATSON M.D. (C.M.O.)
- **Authorized official phone:** (303) 673-7181

## Contact information

- **Practice address:** 8000 E PRENTICE AVE, STE D12, GREENWOOD VILLAGE, CO 80111-2744
- **Practice address phone:** (303) 740-7760
- **Practice address fax:** (303) 290-6317
- **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 |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2011
- **Last updated:** 04/20/2016