Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Pain Specialists Lone Tree, PSLT PAIN SPEC LT
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA J SKINNER (ADMINISTRATOR/OMA)
(303) 673-7175
Entity
Organization
Contact information
Practice address
9695 S YOSEMITE ST STE 255C, LONE TREE, CO 80124-2890
(303) 715-7670
(303) 715-7671
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1106
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
12/30/2021
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