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Organization

PORTERCARE ADVENTIST HEALTH SYSTEM

Active
Other names
Interwest Rehab - PMR, NSSD NEURO REHAB
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA JO SKINNER (ADMINISTRATOR, OMA)
(720) 667-7283
Entity
Organization

Contact information

Practice address
7780 S BROADWAY STE 350, LITTLETON, CO 80122-2641
(720) 638-7500
(720) 583-6670
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1106
(800) 953-0104
(303) 765-6670

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Enumeration date
06/15/2021
Last updated
07/21/2023
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