Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
CMG Primary Care Woodlands, PRWL PC WOODLANDS, Centura Medical Group Primary Care Woodlands
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA J SKINNER (DIRECTOR, OFFICE OF MEDICAL AFFAIRS)
(303) 673-7175
Entity
Organization
Contact information
Practice address
4344 WOODLANDS BLVD STE 260, CASTLE ROCK, CO 80104-2801
(303) 649-3155
(303) 649-3156
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
06/09/2020
Last updated
04/12/2021
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