Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Southpark Internal Medicine, SPIM S PARK INT MED
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA J SKINNER (ADMINISTRATOR, OMA)
(303) 673-7175
Entity
Organization
Contact information
Practice address
9088 RIDGELINE BLVD STE 201, HIGHLANDS RANCH, CO 80129-2380
(720) 266-6900
(303) 791-9920
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1106
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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