Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
SOUTH QUEBEC FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P. HESSELINK (VP-FINANCE PE)
(303) 804-8136
Entity
Organization
Contact information
Practice address
6081 SOUTH QUEBEC ST., SUITE 110, CENTENNIAL, CO 80111
(303) 770-5600
(303) 770-2211
Mailing address
P.O. BOX 911244, DENVER, CO 80291-1244
(303) 486-5401
(303) 347-9912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/03/2012
Last updated
05/09/2012
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