Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
TPPC TRANSPLANT PUEBLO, Centura Transplant Pueblo
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA J SKINNER (ADMINISTRATOR, OMA)
(303) 673-7175
Entity
Organization
Contact information
Practice address
1020 LAKEVIEW AVE, PUEBLO, CO 81004-3508
(303) 778-5797
(303) 778-5205
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1106
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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