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Organization

PORTERCARE ADVENTIST HEALTH SYSTEM

Active
Other names
CHPG WSPC A, CHPG Urogynecology Meridian, MRNH SPECIALTY WOMENS
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANGELA J SKINNER (ADMINISTRATOR- OMA)
(303) 673-7175
Entity
Organization

Contact information

Practice address
9949 S OSWEGO ST STE 300, PARKER, CO 80134-3888
(303) 925-4650
(303) 925-4651
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1106
(800) 953-0104
(303) 765-6670

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
207V00000X
Obstetrics & Gynecology Physician
Primary
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
208800000X
Urology Physician
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician

Other

Enumeration date
07/28/2020
Last updated
04/09/2021
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