Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
CENTURA MEDICAL GROUP INTERNAL MEDICINE CASTLE ROCK, IMCR INT MED C ROCK
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) 269-2860
(303) 269-2861
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
12/03/2020
Last updated
12/03/2020
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