Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Cherry Creek Family Practice, FPCC FP CHERRY CREEK
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA J SKINNER (ADMINISTRATOR, OMA)
(303) 673-7175
Entity
Organization
Contact information
Practice address
425 S CHERRY ST STE 410, GLENDALE, CO 80246-1231
(303) 333-3388
(303) 333-5094
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1106
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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