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Organization

PORTERCARE ADVENTIST HEALTH SYSTEM

Active
Other names
Affiliated Ear, Nose & Throat Physicians
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID L WATSON M.D. (C.M.O.)
(303) 673-7181
Entity
Organization

Contact information

Practice address
8000 E PRENTICE AVE, STE D12, GREENWOOD VILLAGE, CO 80111-2744
(303) 740-7760
(303) 290-6317
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(303) 643-1099
(303) 643-1176

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42603358
CO
Enumeration date
08/05/2011
Last updated
04/20/2016
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