Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Health Physician Group Castle Rock Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA ADMINISTRATOR)
(303) 643-0925
Entity
Organization
Contact information
Practice address
2352 MEADOWS BLVD, SUITE 300, CASTLE ROCK, CO 80109-8405
(720) 455-3770
(720) 455-3771
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(303) 643-1100
(303) 643-1174
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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