Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Health Physician Group Senior Care PAHS
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA ADMINISTRATOR)
(303) 643-0925
Entity
Organization
Contact information
Practice address
5500 E PEAKVIEW AVE, CENTENNIAL, CO 80121-3539
(303) 649-3820
(303) 649-3821
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(303) 643-1100
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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