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Organization

PORTERCARE ADVENTIST HEALTH SYSTEM

Active
Other names
AdventHealth Medical Group Colorectal at Castle Rock
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA JO SKINNER (ADMINISTRATOR, OMA)
(720) 667-7283
Entity
Organization

Contact information

Practice address
2352 MEADOWS BLVD STE 300, CASTLE ROCK, CO 80109-8419
(303) 320-0699
(303) 320-0897
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1106
(800) 953-0104
(303) 765-6670

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
208C00000X
Colon & Rectal Surgery Physician
Primary

Other

Enumeration date
07/31/2023
Last updated
07/31/2023
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