Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Health Physician Group Women's Health Boulder
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA / ADMINISTRATOR)
(303) 643-0925
Entity
Organization
Contact information
Practice address
805 S BROADWAY ST, SUITE 103, BOULDER, CO 80305-5971
(303) 649-3240
(720) 582-9903
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(303) 643-1040
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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