Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Health Physician Group GI PAHS
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (ADMINISTRATOR OMA)
(303) 673-7175
Entity
Organization
Contact information
Practice address
2352 MEADOWS BLVD, SUITE 300, CASTLE ROCK, CO 80109-8406
(720) 455-3879
(720) 455-3795
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(303) 643-1099
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19452730
—
CO
Enumeration date
02/03/2014
Last updated
06/28/2016
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