Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
HLNH BREAST CARE, Centura Health Physician Group Center for Breast Care PAHS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA J SKINNER (ADMINISTRATOR, OMA)
(303) 673-7175
Entity
Organization
Contact information
Practice address
2490 W 26TH AVE STE 120A, DENVER, CO 80211-5317
(303) 925-4580
(303) 925-4581
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1106
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/03/2014
Last updated
07/24/2020
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