Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Other names
Cardiac and Thoracic Surgery Associates, P.C., CTSA CARDIAC TS PUE
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA J SKINNER (ADMINISTRATOR, OMA)
(303) 673-7175
Entity
Organization
Contact information
Practice address
1008 MINNEQUA AVE, PUEBLO, CO 81004-3733
(719) 776-7600
(719) 473-3553
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85800066
—
CO
Enumeration date
10/16/2019
Last updated
07/26/2021
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