Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Apollo Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA ADMINISTRATOR)
(303) 643-0925
Entity
Organization
Contact information
Practice address
950 EAST HARVARD AVENUE, SUITE 530, DENVER, CO 80210
(303) 765-3485
(303) 765-3486
Mailing address
P.O. BOX 911244, DENVER, CO 80291-1244
(303) 643-1100
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44038712
—
CO
Enumeration date
01/13/2010
Last updated
11/08/2013
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