Organization
PORTER ADVENTIST HEALTH SYSTEM
Active
Other names
Neurosurgery One Parker, NSPO NEUROSURG PKR
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA J SKINNER (ADMINISTRATOR, OMA)
(303) 673-7175
Entity
Organization
Contact information
Practice address
9403 CROWN CREST BLVD STE 200, PARKER, CO 80138-8991
(720) 638-7500
(720) 269-2829
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1106
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000195567
—
CO
Enumeration date
07/13/2021
Last updated
11/03/2022
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