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Organization

PORTERCARE ADVENTIST HEALTH SYSTEMS

Active
Other names
Avista Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA SKINNER (OMA ADMINISTRATOR)
(303) 673-7175
Entity
Organization

Contact information

Practice address
611 MITCHELL WAY, SUITE 103, ERIE, CO 80516-5441
(303) 269-2780
(303) 269-2790
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(303) 643-1099
(303) 643-1176

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
97080373
CO
Enumeration date
01/20/2010
Last updated
04/20/2016
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