Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Boulder Neurological Associates, Centura Neurosurgical Associates Avista
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA J SKINNER (ADMINISTRATOR, OMA)
(303) 673-7175
Entity
Organization
Contact information
Practice address
90 HEALTH PARK DR STE 350, LOUISVILLE, CO 80027-9742
(303) 925-5068
(303) 925-5069
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1106
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/26/2022
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