Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
CHPG SPC Metro A, CHPG Orthopedics and Sports Medicine Haxtun, ORPC ORTHO HAXTUN
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA J SKINNER (ADMINISTRATOR- OMA)
(303) 673-7175
Entity
Organization
Contact information
Practice address
235 W FLETCHER ST, HAXTUN, CO 80731-2737
(303) 925-4540
(303) 925-4541
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1106
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
12/21/2020
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