Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Health Physician Group Lone Tree Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA/ ADMINISTRATOR)
(303) 643-0925
Entity
Organization
Contact information
Practice address
9695 S YOSEMITE ST, SUITE 255, LONE TREE, CO 80124-2888
(303) 649-3900
(303) 649-3910
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(303) 643-1040
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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