Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Ridgeline Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L WATSON M.D. (C.M.O)
(303) 804-8119
Entity
Organization
Contact information
Practice address
831 S PERRY ST, SUITE 200, CASTLE ROCK, CO 80104-1919
(303) 649-3120
(303) 649-3121
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(303) 765-6636
(303) 486-5502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/02/2012
Last updated
11/20/2012
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