Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Colorado Neurovascular Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (ADMINISTRATOR OMA)
(303) 673-7175
Entity
Organization
Contact information
Practice address
7780 S BROADWAY, SUITE 340, LITTLETON, CO 80122-2641
(303) 730-4400
(303) 730-4401
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(303) 643-1099
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23583835
—
CO
05
—
76370259
—
CO
05
—
92508766
—
CO
05
—
93370253
—
CO
Enumeration date
03/13/2013
Last updated
05/03/2016
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