Organization
BARIATRIC AND METABOLIC CENTER OF COLORADO
Active
Parent organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
PORTERCARE ADVENTIST HEALTH SYSTEM
Authorized official
DESTRIA BENNIS (OFFICE MANAGER)
(303) 357-4040
Entity
Organization
Contact information
Practice address
9397 CROWN CREST BLVD STE 440, PARKER, CO 80138-8789
(303) 269-4370
(303) 269-4371
Mailing address
9397 CROWN CREST BLVD STE 440, PARKER, CO 80138-8789
(303) 269-4370
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.0004017
CO
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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