Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
CHPG Castle Rock ENT, CHPG SPC Metro A, ETRK ENT CRK
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA J SKINNER (ADMINISTRATOR- OMA)
(303) 673-7175
Entity
Organization
Contact information
Practice address
2352 MEADOWS BLVD STE 300, CASTLE ROCK, CO 80109-8419
(303) 274-2544
(720) 274-2541
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1160
(720) 455-3800
(720) 455-3801
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
12/21/2020
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